Individual provider Active NPI

Sergio Vincente Godinez, PA-C

  • Physician Assistant
  • Coachella, CA
National Provider Identifier
1861003220
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58644 Issued in CA
Practice address
49869 Calhoun St
Coachella, CA 92236-9720
Phone
(760) 399-4526
Fax
(858) 634-6928
NPI assigned
Aug 11, 2020
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58644 CA Primary

Addresses

Primary practice location

49869 Calhoun St
Coachella, CA 92236-9720

Mailing address

49869 Calhoun St
Coachella, CA 92236-9720
Phone (760) 399-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210118000379 CA Practitioner - Physician Assistant 4688087489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

49869 Calhoun St
FL 1
Coachella, CA 92236-9720
Phone (760) 399-4526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58644CAMDDentist

Interoperability endpoints

  • Direct secure messaging: sgodinez605918@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1861003220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49869 CALHOUN ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922369720",
            "telephone_number": "760-399-4526",
            "fax_number": "858-634-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49869 CALHOUN ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922369720",
            "telephone_number": "760-399-4526",
            "fax_number": "858-634-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "SERGIO",
        "middle_name": "VINCENTE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.